Active NPI
Michael Jay Shore, DPM
- Podiatrist
- Deerfield Beach, FL
National Provider Identifier
1164422069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 0001832
- Practice address
- 3832 W Hillsboro Blvd
Deerfield Beach, FL 33442-9413 - Phone
- (954) 360-0400
- Fax
- (954) 360-9810
- NPI assigned
- Jul 21, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 0001832 | FL | Primary |
Addresses
Primary practice location
3832 W Hillsboro Blvd
Deerfield Beach, FL 33442-9413
Mailing address
3832 W Hillsboro Blvd
Deerfield Beach, FL 33442-9413
Phone (954) 360-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 0001832 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boca Deerfield Foot Care Center Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Podiatric Medicine Podiatrist
- Deerfield Beach, FL
- NPI 1306055371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1164422069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3832 W HILLSBORO BLVD",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334429413",
"telephone_number": "954-360-0400",
"fax_number": "954-360-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3832 W HILLSBORO BLVD",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "334429413",
"telephone_number": "954-360-0400",
"fax_number": "954-360-9810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORE",
"first_name": "MICHAEL",
"middle_name": "JAY",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 0001832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deerfield Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.